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Purchase Order Orthodontist in Qatar Doha –Free Word Template Download with AI

PO-QTR-2025-04782

Dental & Orthodontic Procurement Division

Al Rayyan Medical District, Doha, State of Qatar

PO Issuance Date: 15 June 2025

Purchase Order No.: PO-QTR-2025-04782
PO Type: Orthodontic Equipment & Professional Services
Priority: Standard Delivery
Required By: 30 July 2025
Currency: Qatari Riyal (QAR)
Valid Until: 15 August 2025
1. Purchasing Entity (Buyer)
Organization: Doha Orthodontic & Dental Care Center Trade License No.: QTL-2019-44821
Address: Level 4, Al Sadd Medical Tower, Al Sadd Street, Doha, Qatar VAT No.: QVAT-3021-8874-5561
Contact Person: Dr. Khalid Al-Mansoori, Chief Orthodontist Phone: +974-4455-8821
Email: [email protected] PO Reference: Internal Ref. ORTH-2025-Q2
2. Supplier / Vendor (Seller)
Company: Gulf OrthoSupply & Medical Equipment LLC CR No.: QCR-2016-77342
Address: Industrial Area 3, Block C, Warehouse 12, Doha, Qatar VAT No.: QVAT-2891-4432-1108
Contact Person: Ms. Fatima Al-Thani, Sales Director Phone: +974-4477-3390
Email: [email protected] Bank: QNB, Account: 0012-4455-8890
3. Purchase Order Line Items – Orthodontic Products & Services
Item # Description Qty Unit Unit Price (QAR) Total (QAR)
01 Self-Ligating Orthodontic Brackets (Metal, 0.022" slot) – Full Arch Set 24 Set 1,850.00 44,400.00
02 Ceramic Orthodontic Brackets – Aesthetic Series, Full Arch 12 Set 2,400.00 28,800.00
03 NiTi Orthodontic Archwires (0.014" to 0.021" x 0.025") – Assorted Pack 50 Pack 320.00 16,000.00
04 Orthodontic Elastomeric Ligatures (Assorted Colors, 1000 pcs/bag) 30 Bag 95.00 2,850.00
05 Clear Aligner Trays (Thermoform, 30-pair set) – For Orthodontist Use 8 Set 3,200.00 25,600.00
06 Orthodontic Bonding Kit (Adhesive, Primer, Etchant, Light-Cure Unit) 10 Kit 1,150.00 11,500.00
07 Professional Orthodontist Consultation & Treatment Planning Session (per patient, 60 min) 40 Session 450.00 18,000.00
08 Orthodontic Panoramic & Cephalometric X-Ray Imaging (Digital, per patient) 40 Scan 280.00 11,200.00
09 Intraoral Digital Scanning Service (3D Impression, per patient) 40 Scan 350.00 14,000.00
10 Orthodontic Retainers (Hawley Type, Upper & Lower, per patient) 40 Pair 600.00 24,000.00
11 Orthodontic Emergency Repair & Adjustment Service (per visit) 15 Visit 200.00 3,000.00
12 Shipping, Handling & Installation within Doha, Qatar 1 Lot 2,500.00 2,500.00
Subtotal: 201,850.00
VAT (14%): 28,259.00
GRAND TOTAL (QAR): 230,109.00
4. Terms & Conditions of This Purchase Order
  • Delivery Location: All orthodontic equipment and materials listed in this Purchase Order shall be delivered to the Doha Orthodontic & Dental Care Center, Al Sadd Medical Tower, Doha, Qatar. The supplier is responsible for all logistics within the State of Qatar.
  • Delivery Timeline: Physical goods must be received no later than 30 July 2025. Professional orthodontist services (consultations, imaging, and treatment planning) shall be scheduled in coordination with the Chief Orthodontist and completed within the same period.
  • Payment Terms: Payment shall be made within 30 days of receipt of a valid tax invoice from the supplier. Payment will be processed via bank transfer to the account specified in Section 2. The total Purchase Order value of QAR 230,109.00 (inclusive of 14% VAT) is due in a single installment.
  • Quality Assurance: All orthodontic products must comply with the Qatar Standards and Metrology Organization (QSMO) regulations and carry valid CE or FDA certification. The Orthodontist in charge reserves the right to reject any items that do not meet the specified clinical standards.
  • Warranty: The supplier guarantees a minimum 12-month warranty on all orthodontic hardware (brackets, archwires, bonding kits). Any defective items discovered within the warranty period shall be replaced at no additional cost to the purchasing entity.
  • Professional Services: All orthodontist consultations, digital imaging, and treatment planning sessions referenced in this Purchase Order must be conducted by a licensed Orthodontist registered with the Qatar Health Regulatory Authority (HRA). Each session must be documented and a clinical report submitted to the purchasing entity within 5 business days.
  • Confidentiality: All patient data collected during orthodontist consultations and imaging sessions in Doha, Qatar, shall be handled in strict accordance with the Qatar Personal Data Protection Law (Law No. 13 of 2016). The supplier shall sign a Non-Disclosure Agreement prior to commencing any patient-facing services.
  • Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to government-mandated closures, natural disasters, or supply chain disruptions affecting the State of Qatar.
  • Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the State of Qatar. Any disputes arising from this Purchase Order shall be resolved through the competent courts in Doha, Qatar.
  • Amendments: Any modification to this Purchase Order must be made in writing and signed by both parties. Verbal agreements regarding orthodontic services or equipment changes are not binding.
5. Authorization & Signatures Authorized Signatory – Buyer
Dr. Khalid Al-Mansoori
Chief Orthodontist, Doha Orthodontic & Dental Care Center
Date: _______________
Authorized Signatory – Supplier
Ms. Fatima Al-Thani
Sales Director, Gulf OrthoSupply & Medical Equipment LLC
Date: _______________

This Purchase Order (PO-QTR-2025-04782) is issued by Doha Orthodontic & Dental Care Center for the procurement of orthodontic equipment, materials, and professional Orthodontist services to be delivered and performed in Doha, State of Qatar. This document constitutes a binding commercial agreement upon signature by both parties. For any queries regarding this Purchase Order, please contact the Procurement Division at [email protected] or +974-4455-8821.

© 2025 Doha Orthodontic & Dental Care Center. All rights reserved. Document generated in Doha, Qatar.

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